心理干预对中-重度变应性鼻炎患者心理状况及生活质量的影响

发布时间：2018-01-30 11:40

本文关键词： 心理干预鼻炎变应性　出处：《临床耳鼻咽喉头颈外科杂志》2017年21期 　论文类型：期刊论文

【摘要】：目的:观察在药物治疗基础上的心理干预对持续性中-重度变应性鼻炎患者的心理状况及生活质量的影响。方法:选取60例持续性中-重度变应性鼻炎患者随机分为对照组、研究组,每组30例。对照组给予常规药物治疗,研究组在给予常规药物治疗的基础上,辅以心理干预。心理干预采用认知行为疗法,2组治疗周期均为12周,并于治疗前、后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及鼻结膜炎生活质量调查问卷(RQLQ)对患者焦虑、抑郁状态以及生活质量变化进行评估,所有数据均采用SPSS 19.0软件进行统计学处理和分析。结果:2组治疗后SAS、SDS评分均低于治疗前,差异有统计学意义(P0.05)。且研究组治疗后SAS、SDS评分较对照组更低(P0.05)。2组治疗后RQLQ各维度评分均低于治疗前,差异有统计学意义(P0.05)。2组治疗后,在睡眠、非鼻(眼)症状、情感3个维度评分中,研究组均低于对照组(P0.05)。结论:在药物治疗基础上的心理干预能减轻持续性中-重度变应性鼻炎患者的焦虑、抑郁状态,改善生活质量,且疗效优于单纯使用药物治疗。
[Abstract]:Objective: to observe the effect of psychological intervention on the psychological status and quality of life of patients with persistent moderate to severe allergic rhinitis on the basis of drug therapy. Sixty patients with persistent moderate to severe allergic rhinitis were randomly divided into control group. The control group was given routine drug therapy, and the study group was given psychological intervention on the basis of routine drug therapy. Psychological intervention was used by cognitive behavioral therapy. The treatment period was 12 weeks in both groups. Before and after treatment, the patients were anxious with self rating anxiety scale (SAS), self rating Depression scale (SDS) and rhinoconjunctivitis quality of life questionnaire (RQLQQ). Depression and quality of life changes were evaluated. All the data were analyzed by SPSS 19.0 software. Results the scores of SAS in the two groups were lower than those before treatment. The scores of RQLQ in the study group after treatment were lower than those in the control group. The scores of each dimension of RQLQ were lower in the study group than in the control group. The difference was statistically significant in sleep, non-nasal (eye) symptoms and emotion scores after treatment in P0.05n.2 group. Conclusion: psychological intervention on the basis of drug therapy can relieve anxiety, depression and improve quality of life of patients with persistent moderate to severe allergic rhinitis. The therapeutic effect was better than that of drug therapy alone.
【作者单位】：宁夏医科大学总医院耳鼻咽喉头颈外科;重庆医科大学附属第三医院耳鼻咽喉头颈外科;宁夏医科大学总医院心理卫生中心;
【基金】：宁夏医科大学校级课题宁夏科技惠民计划项目(No:2015KJHM05)
【分类号】：R765.21
【正文快照】： 变应性鼻炎(allergic　rhinitis,AR)是常见的呼吸道疾病之一,影响全球10%~25%的人群。随着现代医学模式转变,研究者们逐渐发现AR也是一种身心疾病[1]。AR患者的躯体症状主要有以下表现:鼻痒、鼻塞、流清水样鼻涕、阵发性喷嚏等,可能对患者的生活质量造成程度不一的影响[2]。

【相似文献】